Antenatal care utilization in recently delivered rural females: A hospital and #8209;based cross-sectional study

Abstract Background Timely antenatal care (ANC) has been proven to save lives and maximizes health and potential. The study aimed to assess ANC utilization rates in Damietta district, Egypt and to identify the components of ANC provided and factors affecting utilization rates. Methods A cross-sectional study was conducted in four Family Health Centers (FHC) in Damietta district. The study included any mother, who gave birth within the last 6 months, after giving written consent to participate. Women were interviewed about their experience with ANC during the last pregnancy using a pre-designed questionnaire. Results The study found that ~85% of the mothers have ever attended ANC during the last pregnancy, two-thirds were regular attendants. Urban residence, being not working, having high education and high family income were positively associated with utilization of ANC (P < 0.001). Only 30% of the mothers received ANC in FHCs, while the majority received ANC at private clinics. Rates of receiving ANC components were variable with significantly higher rates in private clinics than governmental FHCs (P < 0.001 for most components). Health education was the least ANC component to be received by mothers at governmental and private sites. Conclusion More work is needed to improve the utilization of ANC in FHCs. Providers of ANC should be trained and supervised to provide full package of ANC especially health education message, being the most neglected component of ANC.

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Antenatal care among women in Chitwan district of Nepal: A cross-sectional study

Journal of Health Promotion ◽

10.3126/jhp.v9i01.40968 ◽

2021 ◽

Vol 9 (01) ◽

pp. 74-86

Author(s):

Sharmila Pokharel ◽

Ram Krishna Maharjan

Keyword(s):

Antenatal Care ◽

Educational Level ◽

Health Workers ◽

Cross Sectional Study ◽

Reproductive Age ◽

Care Utilization ◽

Sectional Study ◽

Related Factors ◽

Cross Sectional ◽

Care Community

Antenatal care is one of the most effective measures to reduce maternal mortality in Lower Middle-income Countries. The study aims to assess the utilization of antenatal care and related factors by breastfeeding mothers in Chitwan district of Nepal. A cross-sectional study was carried out in Bharatpur municipality in April 2020, among all women of the reproductive age group (15-49) who have had a birth child in the last 12 months before the survey date. A census sampling technique was used to select respondents. The vaccination period was two weeks. All the mothers who came to the vaccine center to vaccinate their children were the respondents of this study. The data were collected by using an interview schedule. The collected data were managed using SPSS Version 20. The study found that 84.31 percent of respondents attended more than four antenatal care utilization. The educational level of the respondents and the occupation of their partners were linked to the use of antenatal care. The number of pregnancies, the number of live births, the place of delivery, and the educational level and occupations of the birth attendees were also significantly linked to the use of antenatal care. Community mobilization and intensive use of community health workers are essential factors to improve the use of antenatal care.

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Health-related quality of life determinants among Rwandan women after delivery: does antenatal care utilization matter? A cross-sectional study

Journal of Health Population and Nutrition ◽

10.1186/s41043-018-0142-4 ◽

2018 ◽

Vol 37 (1) ◽

Cited By ~ 4

Author(s):

Regis Hitimana ◽

Lars Lindholm ◽

Gunilla Krantz ◽

Manasse Nzayirambaho ◽

Jeanine Condo ◽

...

Keyword(s):

Quality Of Life ◽

Cross Sectional Study ◽

Care Utilization ◽

Health Related Quality ◽

Sectional Study ◽

Cross Sectional ◽

Antenatal Care Utilization ◽

Related Quality ◽

Health Related

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Antenatal service utilization among women in South India: a community based cross sectional study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20200884 ◽

2020 ◽

Vol 9 (3) ◽

pp. 1110

Author(s):

Chethana K. ◽

Manjula Anil ◽

Maria Nelliyanil

Keyword(s):

Antenatal Care ◽

Service Utilization ◽

Univariate Analysis ◽

Cross Sectional Study ◽

Care Utilization ◽

Snowball Sampling ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Validated Questionnaire

Background: Antenatal period is important for identifying pregnancy related threats and antenatal care (ANC) is one of the most effective health interventions during this period. It provides a unique opportunity for screening and diagnosis, health promotion and disease prevention. This study assessed the antenatal service utilization pattern and its determinants among women.Methods: A community based cross sectional study was conducted in the field practice area of a teaching hospital in Mangalore. Study included 142 women who had delivered in the last one year in the study area, selected using snowball sampling method. A pretested semi-structured validated questionnaire was used to collect the data. Predictors of full ANC were identified using univariate analysis and explanatory variables were entered into multivariate regression model to obtain the adjusted odds ratios to find the association between full ANC coverage and its determinants.Results: Among the participants, 99.3% registered their pregnancy and 78.9% had early registration. Majority, 91.5% had minimum antenatal visits, 83.1% consumed iron and folic acid supplements for more than three months and tetanus toxoid (TT) coverage was 98.6%. Full ANC coverage was found to be 81% and unadjusted analysis showed higher odds of full ANC coverage among housewives, primiparous, women in joint family and among literates. However, multi variable analysis revealed literacy as the major determinant of full ANC.Conclusions: In the present study, majority of the women had adequate antenatal care utilization. Full antenatal coverage was found to be statistically significant among literate women.

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Factors Affecting Antenatal Care Utilization Among the Disadvantaged Dalit Population of Nepal: A Cross- sectional Study

The Open Public Health Journal ◽

10.2174/1874944501912010155 ◽

2019 ◽

Vol 12 (1) ◽

pp. 155-163

Author(s):

Surendra Prasad Chaurasiya ◽

Nilesh Kumar Pravana ◽

Vishnu Khanal ◽

Dhiraj Giri

Keyword(s):

Maternal Health ◽

Antenatal Care ◽

Service Utilization ◽

Health Workers ◽

Statistical Significance ◽

Cross Sectional Study ◽

Maternal Health Service ◽

Care Utilization ◽

Sectional Study ◽

Cross Sectional

Background: Antenatal Care (ANC) visits are intended to prevent, identify and treat conditions that may threaten the health of the mother and newborn, and to increase the chance she has a smooth pregnancy and and safe childbirth. The most disadvantaged and underprivileged caste (Dalit) of Nepal has benefitted the least from maternal health service improvements in the recent years. Objective: This study was conducted to determine the rate and factors associated with the antenatal care service utilization among the most disadvantaged ethnic group (Dalit women) and recommend interventions to improve ANC utilisaiton, in the Mahottari district of Nepal. Methods: A cross-sectional study was conducted during July-December 2014 using a structured questionnaire. A total of 328 recently delivered mothers were interviewed covering the entire district. Descriptive statistics, binary and multivariable logistic regression analyses were computed. Statistical significance was considered at p < 0.05 and the strength of statistical association was assessed by odds ratios with 95% confidence intervals. Results: ANC utilization rate (≥ 4 ANC visit) was found to be 42%. Mother's education, husband's education, mother's occupation, perceived “good quality” ANC, hearing about incentive program, maternal health message, non-perception of health workers behaviours as discriminatory, and exposure to Female Community Health Volunteer were found to be significantly associated with ANC utilization. Conclusion: ANC service utilization is low. So, there is an urgent need to address the issue of ANC quality and discriminatory behaviour of health workers toward Dalit. A targeted & comprehensive maternal health program should be developed to raise awareness and motivate pregnant women for maximum utilisation of ANC services.

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